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Deficiency Records for Mountainside Skilled Nursing and Rehab

View the most recent health deficiencies and inspection results for Mountainside Skilled Nursing and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mountainside Skilled Nursing and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-08-21 2025-09-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-08-21 2025-09-18 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-03-04 2025-05-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-03-04 2025-05-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-03-04 2025-05-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-03-04 2025-05-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2025-03-04 2025-05-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-04 2025-05-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2025-03-04 2025-05-01 Y
Provide and implement an infection prevention and control program. Health 2025-03-04 2025-05-01 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2025-03-04 2025-05-01 N
Ensure medication error rates are not 5 percent or greater. Health 2025-03-04 2025-05-01 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2025-03-04 2025-04-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-03-04 2025-04-29 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2025-03-04 2025-04-25 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2025-03-04 2025-04-25 N
Install an approved automatic sprinkler system. Fire Safety 2025-03-04 2025-04-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-03-04 2025-04-25 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2025-03-04 2025-04-25 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2025-03-04 2025-04-25 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-03-04 2025-04-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-03-04 2025-04-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-03-04 2025-04-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-03-04 2025-04-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-03-04 2025-04-21 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2025-03-04 2025-04-18 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2025-03-04 2025-04-18 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-03-04 2025-04-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-03-04 2025-04-15 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-03-04 2025-04-14 Y
Ensure each resident receives an accurate assessment. Health 2025-03-04 2025-04-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-03-04 2025-04-11 N
Provide properly protected cooking facilities. Fire Safety 2025-03-04 2025-04-11 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-03-04 2025-04-11 N
Have an enclosure around a vertical opening shaft. Fire Safety 2025-03-04 2025-04-11 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2025-03-04 2025-04-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-04 2025-04-08 N
Ensure that residents are free from significant medication errors. Health 2024-11-14 2024-12-20 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-07-31 2024-08-28 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-26 2023-03-14 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-01-26 2023-03-14 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-26 2023-03-14 N
Ensure each resident receives an accurate assessment. Health 2023-01-26 2023-03-14 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-01-26 2023-03-14 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-01-26 2023-03-14 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-01-26 2023-03-14 N
Provide and implement an infection prevention and control program. Health 2023-01-26 2023-03-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-12-23 2021-01-21 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-12-23 2021-01-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-12-23 2021-01-19 N

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